Blood transfusion practices among delivery cases: A retrospective study of two years

Kathpalia, S.K.; Chawla, Jaya; Harith, Arun Kumar; Gupta, Priyanka; Anveshi, Anupam

doi:10.1016/j.mjafi.2016.01.010

Cited by 4 publications

(3 citation statements)

References 11 publications

(10 reference statements)

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“…In this study, the incidence of postpartum hemorrhage requiring transfusion did not seem high under our protocols [24]. This may support our recent speculation that the increased risk of postpartum hemorrhage is related to elective cesarean delivery rather than vaginal delivery or emergency cesarean delivery during labor [2526].…”

Section: Discussionsupporting

confidence: 83%

Outcomes of ‘one-day trial of vaginal delivery of twins’ at 36–37 weeks' gestation in Japan

Haruna

Suzuki

2019

Obstet Gynecol Sci

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ObjectiveThe lack of obstetricians in Japan has prevented the implementation of a 24–hour delivery monitoring system for high-risk deliveries such as twin vaginal delivery at many obstetric facilities. To examine the outcomes of a 1-day trial of the vaginal delivery of twins at 36–37 weeks' gestation.MethodsWe induced the vaginal delivery of twins at 36–37 weeks' gestation of 256 women who provided consent between January 2007 and December 2016 using the following protocol: 1) administration of 0.5 mg oral prostaglandin E2 every 1 hour (maximum: 1.5 mg) in the morning; 2) intravenous administration of oxytocin and amniotomy in the afternoon; and 3) selection of caesarean delivery when vaginal delivery was not expected by evening. We examined their perinatal outcomes in a chart review.ResultsThe completion rates of vaginal delivery in total, nulliparous, and multiparous women were 79%, 72%, and 84%, respectively. There were no cases of neonatal asphyxia. The total incidence of neonatal respiratory disorders was 2.1%, but there were no cases of persistent pulmonary hypertension. The total incidence of postpartum hemorrhage requiring transfusion was 2.7%.ConclusionThe 1-day planned vaginal delivery of twins at 36–37 weeks' gestation appears valid and safe, and our findings suggest that it can be an option for the delivery of twins.

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Section: Discussionsupporting

confidence: 83%

Outcomes of ‘one-day trial of vaginal delivery of twins’ at 36–37 weeks' gestation in Japan

Haruna

Suzuki

2019

Obstet Gynecol Sci

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“…It is improbable that patients without any history of pregnancy or transfusion will have alloantibodies beside autoantibodies; therefore, appropriate transfusion of blood could be obtained without an autoantibody absorption test (ZZAP test). Further, the presence of alloantibodies must be taken into consideration while choosing compatible blood for patients receiving numerous transfusions or for women who have a history of frequent delivery ( Kathpalia et al, 2016 , Shin, 2013 ).…”

Section: Discussionmentioning

confidence: 99%

The Prevalence of unexpected antibodies in Saudi's plasma prior blood transfusion and their association with clinical conditions: A cross-sectional study

Waggiallah

Alenzi

Shaya

et al. 2021

Saudi Journal of Biological Sciences

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Unexpected antibodies, also called irregular antibodies, are not known to exist in a person's serum before testing. This research aims to assess the prevalence of unexpected antibodies and their correlation with several clinical conditions. This cross-sectional prospective study, undertaken from June 2019 to June 2020, included ABO, Rh grouping, cross-matching, and antibody screening. Antibody identification was performed only on patients who tested positive in the screening test. From a total of 9764 participants who were screened for unexpected antibodies, 107 (1.1%) tested positive. The Rh blood group system antibodies were the most frequent, particularly anti-D. There was also a significant correlation between the unexpected antibodies and history of transfusion, pregnancy, and autoimmune diseases as P ≤ 0.05. The most prominent unexpected antibodies in the study belong to the Rh system (Anti-D). Moreover, as a result of the strong correlation between the unexpected antibodies as well as the history of transfusion, pregnancy, and autoimmune diseases, the highest safety criteria must be followed during the transfusion of blood to patients with these clinical conditions.

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“… 20 Reagent waste places a great burden on hospitals, especially those in countries that import reagents. 21 , 22 Our approach sorts the BTRs of c-section patients according to health status and improves the efficiency of blood services. The type and hold step was not implemented for elective c-section cases but was kept only for complicated cases, an approach highly recommended in previous studies.…”

Section: Discussionmentioning

confidence: 99%

Enhancing the utilization of packed red blood cells stock in maternity hospitals

Bawazir

Dakkam

2020

SMJ

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Objectives: To assess and enhance the efficiency of transfusion services in maternity hospitals. Methods: A case control study was conducted from January to December 2016. A corrective policy of replacing preoperative type and hold step with blood transfusion request (BTR) hold was used only on healthy patients undergoing elective cesarean sections (c-section). The crossmatch/transfusion (C:T) ratio and a cost comparison were the evaluating factors. Data were analyzed using an Excel spreadsheet and SPSS statistical software. Results: A total of 1,200 BTRs were analyzed, comprising 659 before implementation of the corrective policy and 541 blood transfusion requests after implementation of the corrective policy. From January to March, the C:T ratio of c-sections was nearly 7 times the American Association of Blood Banks recommended limit of 2.5. Most of the blood units (94%) were damaged due to repeated booking. After implementation, the cost-effectiveness of erythrocyte transfusion was greatly enhanced as all the ordered blood units were used and the C:T ratio was reduced to the ideal limit of one. The number of destroyed units was drastically decreased from 450 units to zero; as a result, 83% of the transfusion costs were saved. Conclusion: The policy enhances the cost-effectiveness of erythrocyte transfusion and laboratory testing, and saves on additional, unnecessary costs.

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Blood transfusion practices among delivery cases: A retrospective study of two years

Cited by 4 publications

References 11 publications

Outcomes of ‘one-day trial of vaginal delivery of twins’ at 36–37 weeks' gestation in Japan

Outcomes of ‘one-day trial of vaginal delivery of twins’ at 36–37 weeks' gestation in Japan

The Prevalence of unexpected antibodies in Saudi's plasma prior blood transfusion and their association with clinical conditions: A cross-sectional study

Enhancing the utilization of packed red blood cells stock in maternity hospitals

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